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10 Jun, 2019
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The Individual and Family Choices program
Lois Ehrmann, PhD, LPC, NCC/ACS, is the founder & executive director of The Individual and Family Choices Program in State College, Pennsylvania. She has over 32 years of professional counseling experience and over 18 years of clinical supervision experience. She holds the following credentials: Clinical Supervisor (ACS) & National Certified Counselor (NCC), Registered ATTACh Clinician, Certified Attachment Focused Family Therapist, Certified IFS (CSL) Therapist, Certified EMDR Clinician & Approved Consultant (EMDRIA), and Certified Trauma Specialist (CTTS).
She is also an affiliated assistant professor at Penn State University in the Department of Counselor Education & Supervision since 2004. In the most recent years of teaching she has focused on skill development in masters level counselors and clinical supervision skills for doctoral level professional helpers. Lois is a sought after clinical supervisor in her geographic area and thoroughly enjoys teaching and mentoring new clinicians.
Financial: Lois Ehrmann is founder and executive director of The Individual and Family CHOICES Program. She receives a speaking honorarium from PESI, Inc.
Non-financial: Lois Ehrmann has no relevant non-financial relationship to disclose.
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- Articulate the neurological impact of trauma on attachment in children and adolescents and how current research informs treatment planning.
- Differentiate between the clinical presentation of children and adolescents who exhibit insecure vs. secure vs. disorganized attachment.
- Implement trauma and attachment assessments to develop observable and measurable treatment plan goals.
- Implement the “internal working model” intervention to clarify the client’s attachment category to inform treatment planning.
- Operationalize the core treatment goals into measurable objectives in the treatment of trauma and attachment.
- Implement the Integrated Attachment and Trauma Timeline Strategy (IATTS) to organize and construct the client’s trauma narrative.
- Utilize the client’s trauma narrative to process attachment disruptions and trauma responses.
- Apply bilateral tapping to reduce the intensity of strong affect and/or to amplify a strength resource.
- Integrate elements of Internal Family Systems psychotherapy to map out a child’s problematic behavior and the parent’s responses to the behavior.
- Utilize bibliotherapy to teach children, adolescents and families the concepts of Internal Family Systems psychotherapy to improve treatment outcomes.
- Integrate resource tapping (EMDR) into Attachment Focused Family Therapy to increase the strength of attachment and healthy regulation in children, adolescents and families.
- Teach clients mindfulness-based breath work, guided imagery and sensory awareness to improve affect regulation.
Attachment Theory and Attachment Therapy
- Recent influences in attachment theory and therapy
- Attachment importance in the development of the healthy individual
- Attachment styles vs. disorganized attachment
- Neuroscience supporting bottom up therapeutic strategies
- DSM-5®: Classification of trauma and stressor-related disorders
Neurological Impact of Trauma and Attachment
- How the research informs treatment
- Trauma is stored/stuck in the right hemisphere
- Chronic activation of the fight/flight/freeze response (Amygdala issues)
- The reason for the stuckness
- Cortisol and its impact on cognitive impairment
Indicators of Trauma and Attachment Disruption
- Common diagnostic mistakes
- Characteristics of the children and adults
- View attachment as a continuum
Assessments for Trauma and Attachment Wounds Case Studies and Video Sessions
- Protocol to assess the strength and health of the parental/caregiver system
- Most effective scales, measures and instruments
- Methods to explain the Internal Working Model of the child to the parent/caregiver
- Diagnostic considerations/Differential diagnosis
- Complex Trauma, Complex PTSD, Developmental Trauma, Disorganized Attachment, Reactive Attachment Disorder
Translate Trauma and Attachment Goals into SMART Objectives
- Core treatment goals
- Relational factors between client/therapist and child/ parent/caregiver
- Dismantling the individual’s unhealthy negative internal working model
- Increase the level of affective mastery
- Reduce distancing defenses Increase attachment within healthy relationships and for adults with their own children
- Containment of rage anger and pain so that resolution can occur
- How to operationalize goals into measurable objectives
The Integrated Attachment and Trauma Timeline Strategy (IATTS): Help Children and Families Unpack their History
- A guide to move from assessment to treatment
- Techniques to clarify and construct the client’s cohesive narrative
- Methods to “chunk” overwhelming and disorganized historical material
- Integrates with evidence-base treatment modalities
- Eye Movement Desensitization Reprocessing (EMDR)
- Internal Family Systems (IFS)
- Attachment Focused Family Therapy
- Bibliotherapy Expressive Therapies and Somatic Psychotherapy
BOTTOM UP TECHNIQUES: PUTTING IT ALL TOGETHER WITH PRACTICE TIME!
A Child Who Had No Safety: Case Study
- A view of Attachment Focused Family Therapy
- Healthy vs. disrupted attachment/bonding cycle
- Intersubjectivity and Attunement: What being in sync does/does not look like
- PACE: Playfulness, Acceptance, Curiosity and Empathy
- Co-regulation of affect and co-creation of experiences
When Traumatized Children are Broken into Many Parts: Case Study
- Secure vs. anxious and avoidant attachment styles
- Disorganized attachment: Recognize the signs
- How attachment impacts parent-child dyads
- Integrate IFS into Attachment Focused Family Therapy
- Parts work through sand tray, art strategies and puppetry
Repair the Fracture with Adoptive Parents: Case Study
- Clarify the trauma and negative internal working model
- Parts mapping: Teach parts concepts to children and parents
- Integrate Bibliotherapy into IFS
- Assist parents how to engage in self-led parenting
Protecting Sibling and Self In Foster Care: Case Study
- Protector parts activity/worksheet
- Teach children to use their inner imagination to work with their part
- Transform terror into trust
The Rage that Comes from Physical Abuse: Case Study
- When children reenact the trauma of abuse
- See the positive intention in all parts
- Teach compassion, curiosity, calmness and connectedness through
- Expressive therapies
Parts that Children Wall Off: Case Study
- Terrified of being terrified
- The freeze of the Fight Flight Freeze Trauma Response
- Help children understand their own thoughts, feelings, behaviors and experiences
When Parents and Children Both Have Activated Parts: Case Study
- Activation Parts Map: Z-Process
- Naming and witnessing the activated parts
- Helping the parts understand each other
Full of Rage with No Where to Go: Case Study
- Integrate EMDR into Attachment Focused Family Therapy
- Teach parents and children resource tapping and positive self-talk
- Use tapping as part of imaginal nurturing
- Calming and self-regulating strategies from EFT Naming feelings with bilateral drumming
Other Trauma Specific Evidence-base Treatment Modalities
- What they are used for and why clients seem to respond well
- Sensorimotor psychotherapy
- Mindfulness-based approaches including breath work and imagery
- Biofeedback and EEG Biofeedback
- Limitations of the related research and risks of each approach
- Social Workers
- Marriage and Family Therapists
- Certified Case Managers
- Occupational Therapists
- Other Helping Professionals Who Work with Children
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